激光治疗下肢静脉曲张与传统手术的效果比较

The compare effect of varicose vein of lower limb treatment by laser therapy and traditional operation

目的分析激光治疗下肢静脉曲张与传统分段剥脱术的临床效果。方法研究组35例采用激光治疗大隐静脉主干及小腿曲张血管；对照组23例采用传统手术方式，比较两组手术时间、术中出血量、术后开始下床活动时间、住院天数、疼痛程度等指标。结果研究组手术时间、术中出血量、术后开始下床活动时间、住院天数均显著低于对照组（p〈0．01）。疼痛程度亦明显轻于对照组，术后没有静脉血栓形成。皮肤坏死、下肢功能障碍等严重并发症。患者痊愈出院，随访4-12个月，均无复发，疗效满意。结论大隐静脉曲张激光治疗临床综合疗效，明显优于传统手术方法，具有微创、少疤、疼痛轻、住院时间短、复发率低等优点。

Objective： To analyze clinical effects of laser varicose vein of lower limb. Methods; study group with 35 therapy and traditional segmental decollement with cases treatment by laser therapy; contrast group with 23 cases treatment by traditional operation. The operation time, amount of bleeding in operation, the get out of bed exercising time after operation, days of hospitalization and degree of pain of two groups were compared. Results： The operation time, amount of bleeding in operation, the get out of bed exercising time afteroperation and days of hospitalization of study group were descend significantly（p〈0. 01）. The degreed of pain were obviously lighter than contrast group. There were no phlebothrombosis, dermonecrotic and dysfunction of lower limb after operation, and follow-up 4-12 month, no recurrence. The curative effect were satisfied. Conclusion： Laser therapy of varicosis of great saphenous vein have were obviously better than traditional operation.